Individual
RACHEL ELLEN PEAY-GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
396 YELLOWSTONE AVE, POCATELLO, ID 83201-4572
(208) 254-7733
Mailing address
357 LA MONTAGNA STRADA, POCATELLO, ID 83201-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56883
ID
Other
Enumeration date
09/13/2017
Last updated
01/31/2020
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